Complications of Vascular Access Lines in the Hand and Upper Extremity

Abstract

Vascular access is often necessary in the inpatient and surgical settings. Peripheral intravenous access is the most common type of such access, with arterial access also often used. Although procedures for both peripheral intravenous and arterial access are generally recognized as safe, complications can and do occur with their use. The hand and upper extremity surgeon may be called on to manage some of the more severe complications of vascular access, such as infection, compartment syndrome, neuropathy, ischemia, or extravasation. This review discusses the most common types of vascular access in the upper extremity, their associated complications, and the management of these complications.

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